New Ranking of Eye Tear Trough Augmentation in New York City: Unveiling the Best Options

The area under the eyes, specifically the tear trough, is a sensitive and prominent part of the face. As we age, the tear trough can become more pronounced, leading to a tired, aged appearance. Eye tear trough augmentation has gained significant popularity in New York City as a way to rejuvenate the under - eye area. The newly released ranking offers valuable insights into the best providers, treatments, and products for this procedure. In this article, we will explore the various aspects of eye tear trough augmentation in NYC based on the new ranking.

Understanding Tear Troughs

A tear trough is an anatomic area located between the upper cheek and the lower eyelid region. It can create a shadow, resulting in the appearance of a darkened under - eye area, making a person look tired or prematurely aged. Tear troughs can be genetic, or they may develop due to the natural loss of collagen as we age. Reduced collagen levels lead to transparent, thin skin in the under - eye area, increasing the visibility of underlying blood vessels and creating the darkened appearance.

Benefits of Tear Trough Augmentation

Tear trough augmentation can bring several benefits to individuals. It restores lost volume in the crease below the eye, improving the appearance of dark circles and under - eye bags. By using dermal fillers, tear trough augmentation can reduce the appearance of shadows under the eyes, giving a more youthful and refreshed look. Additionally, it can enhance the overall facial aesthetics by creating a smoother transition between the lower eyelid and the upper cheek.

Treatment Options for Tear Trough Augmentation

Dermal Fillers

Dermal fillers are one of the most popular choices for tear trough augmentation. Hyaluronic acid (HA) fillers are commonly used due to their safety and effectiveness. Some of the top HA fillers used in NYC include:

• Restylane: This filler has the right balance of stiffness, cohesivity, and a duration of effect of about a year under the eyes. It can be fine - tailored for deep or shallow injections. Restylane - L is often considered one of the best options by many experts, including Dr. Brett Kotlus, a cosmetic oculoplastic surgeon in NYC. It has relatively low swelling and can effectively correct the tear trough.
• Belotero Balance: Popular for under - eyes because it's very forgiving for the injector. It is not very stiff and is less likely to lump up or cause discoloration. However, it may not provide great lift for deep tear troughs.
• Juvederm Volbella and Juvederm Vollure: Juvederm Volbella is softer and better for shallow injections, while Juvederm Vollure (also known as Volift outside the U.S.) is stiffer and more suitable for deeper injections. They cause less swelling than some of the older Juvederm products.

Each filler has its own characteristics, and the choice depends on the patient's facial anatomy, skin concerns, and cosmetic goals. An experienced injector, such as Dr. Michele Green, a world - renowned expert in cosmetic dermatology in NYC, will assess the patient to determine the most appropriate filler.

Fat Injections

Fat injection, also known as fat transfer or fat grafting, is a permanent filler option. It uses the patient's own fat cells to add volume. Dr. Brett Kotlus frequently performs under - eye fat grafting, usually in conjunction with cosmetic eyelid surgery. The success of fat grafting depends highly on the technique used. Some surgeons are reluctant to do under - eye fat injections, but when done correctly, it can be a safe and effective option. However, it is less predictable than filler because some of the injected fat cells may not survive.

Top Providers in New York City

Dr. Michele Green

Dr. Michele Green is a board - certified dermatologist with over 25 years of experience. She is consistently rated as a top NYC dermatologist by Castle Connolly, Super Doctors, New York Magazine, and the New York Times. Dr. Green offers a host of non - invasive cosmetic procedures for rejuvenation, including under - eye fillers. She uses a “less - is - more” approach to dermal fillers, carefully tailoring the treatment to each patient's unique needs. Her expertise in choosing the right filler for the tear trough, such as Juvederm Volbella, Restylane, and Belotero Balance, has led to high patient satisfaction.

Dr. Brett Kotlus

Dr. Brett Kotlus is a cosmetic oculoplastic surgeon in NYC. With his extensive experience and specialized training in oculoplastic and cosmetic surgery, he is well - versed in under - eye filler treatments. He is particularly cautious about using certain fillers under the eyes, such as permanent or semi - permanent injectable fillers, which can cause problems if not placed correctly. Dr. Kotlus recommends cross - linked hyaluronic acid (HA) gel fillers, with Restylane - L being his top choice for under - eye filler.

Dr. Casian Monaco

Dr. Casian Monaco's practice in the upper east side of NYC specializes in under - eye filler treatments. He brings precision and artistry to each procedure, using only the highest quality fillers. Dr. Monaco customizes each treatment to the individual's facial anatomy and aesthetic goals, ensuring natural - looking and rejuvenating results.

Procedure and Safety

Procedure

The first step for tear trough filler treatment is a consultation with a qualified provider, such as Dr. Michele Green. The provider will evaluate the targeted treatment area and the skin's elasticity, confirm the patient is a good candidate for tear trough fillers, and determine the appropriate dermal filler product and the number of syringes required. A local anesthetic is usually applied to the treatment area about an hour before the injections to minimize discomfort. The dermal fillers are then injected directly into the skin in tiny amounts using an ultrafine needle or a cannula, depending on the provider's preference. After the procedure, ice is applied to the treatment area to prevent swelling, and aftercare instructions are provided. A two - week follow - up appointment is typically scheduled to evaluate the treatment and determine if any touch - up is needed.

Safety

Tear trough filler treatments are generally safe when performed by an experienced and board - certified provider. However, there are some potential side effects. Mild swelling and bruising at or around the injection sites are common and usually resolve within a week or a few weeks. The Tyndall effect, a bluish discoloration that can occur after some hyaluronic acid fillers are injected too superficially, is a rare side effect and can be reversed with hyaluronidase. More serious side effects, such as changes in vision, vascular occlusion, signs of infection at injection sites, allergic reaction to the dermal filler product, worsening bruising or swelling, numbness, and persistent pain, are extremely rare but highlight the importance of choosing a qualified injector.

Cost and Longevity

Cost

The cost of tear trough filler treatment depends on several factors, including the medical professional performing the procedure, the geographic location of the office, the type of filler used, and the amount of filler needed. Typically, fillers cost $1000 or more per syringe. For example, during a consultation with Dr. Michele Green, she will assess the patient's tear trough, cosmetic concerns, and goals to choose the best - suited dermal filler product and recommend the total number of syringes needed, along with providing a cost estimate.

Longevity

Dermal fillers typically last for anywhere from six to twelve months, depending on the exact filler used and the patient's metabolism. Fat grafting results can be more long - lasting, but the survival rate of the transferred fat cells can vary. To maintain the desired cosmetic results, tear trough filler treatment can be repeated on an annual or biannual basis.

Comparing Tear Trough Augmentation with Other Eye Rejuvenation Procedures

Under - Eye Filler vs. Blepharoplasty

Under - eye fillers are a non - invasive cosmetic procedure that uses dermal fillers to restore lost volume and correct hollowing in the under - eye area. They are not permanent, typically lasting 6 - 9 months, and are associated with little side effects and downtime. On the other hand, blepharoplasty is a type of plastic surgery that improves the appearance of the upper or lower eyelids by removing excess skin from the eyelids. It can correct excess skin, droopy eyelids, under - eye bags, puffiness, and dark circles. However, this surgical procedure involves making small incisions in the eyelid area and has long recovery times, surgical scars, and severe side effects. Tear trough filler treatment is suitable for those who want immediate results without downtime and understand that it is not a permanent solution. Blepharoplasty may be ideal for someone who doesn't mind the downtime, has excessive skin laxity, and wants permanent results.

Non - Surgical Alternatives

There are also other non - surgical options for eye rejuvenation that can be combined with tear trough augmentation. Botox can be used to smooth dynamic wrinkles, such as crow's feet, around the eyes. Thermage uses radiofrequency energy to tighten sagging skin on the upper and lower eyelids. Laser resurfacing, chemical peels, and microneedling can address fine lines, wrinkles, discoloration, and uneven skin texture in the under - eye area. An expert like Dr. Michele Green can create a personalized treatment plan that combines these procedures to achieve the best results.

Choosing the Right Provider

When considering tear trough augmentation in New York City, it is crucial to choose the right provider. Look for a board - certified dermatologist or plastic surgeon with extensive experience in under - eye treatments. Check their credentials, patient reviews, and before - and - after photos. A good provider will take the time to understand your concerns and goals, perform a thorough assessment, and recommend the most appropriate treatment. They will also prioritize your safety and ensure that you are well - informed about the procedure, potential side effects, and aftercare.

Conclusion

The new ranking of eye tear trough augmentation in New York City provides valuable information for individuals looking to rejuvenate their under - eye area. With a variety of treatment options, including dermal fillers and fat injections, and many skilled providers in the city, patients have the opportunity to achieve a more youthful and refreshed appearance. Whether you choose a non - invasive filler treatment or a more permanent surgical option, it is essential to make an informed decision and work with a qualified professional. By understanding the benefits, risks, and procedures associated with tear trough augmentation, you can take the first step towards enhancing your facial aesthetics and regaining a more confident look.

If you are interested in learning more about eye tear trough augmentation in New York City, we encourage you to schedule a consultation with a top - rated provider. Share your concerns and goals, and let the experts guide you towards the best treatment option for you. You can also explore related resources on our website to expand your knowledge about eye rejuvenation procedures.